Organization
FAYETTE EMS
Active
Other names
Fayette Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
BOB TOPPER (ADMINISTRATIVE DIRECTOR)
(724) 628-8610
Entity
Organization
Contact information
Practice address
301 S ARCH ST, CONNELLSVILLE, PA 15425-3521
(724) 628-8610
(724) 628-2533
Mailing address
PO BOX 862, 301 ARCH SREET, CONNELLSVILLE, PA 15425-0862
(724) 628-8610
(724) 628-2533
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
26215
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015252900003
—
PA
01
—
1020392
GATEWAY
PA
01
—
1498717
UMWA
PA
01
—
204435
UPMC
PA
01
—
38334
COVERTRY HUMINA
PA
01
—
75204
UNISON
PA
Enumeration date
11/29/2006
Last updated
11/13/2007
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